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Get CA FTB Schedule 1067BB 2017

S or out * Taxpayer in Prior year transfer Quarter 1 Quarter 2 Quarter 3 Fax: 916.845.9392 Print name Title Do not attach this request to the return. This request must be faxed or mailed separately from the return. Fax or mail to: Authorized signature Mailing address: Telephone Quarter 4 Contact person Extension payments Total payments Taxable year (yyyy) 1067B CALIFORNIA SCHEDULE GROUP FILING PROGRAM MS L170 ATTN: INFORMATION VALIDATION SECTION (732) FRANCHISE TAX BOARD PO BO.

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